A year ago this week, a 66-year-old resident at Alexian Village of Tennessee Healthcare and Rehabilitation Center tumbled off her bed as a nurse's assistant was turning her.
Other staff members at the Signal Mountain facility arrived to find the woman, who is unnamed in the report, sprawled on the floor, her leg dangling over her roommate's bedside table with a four-inch laceration on her calf and blood pooling on the floor. She had a large knot on her forehead.
An EMS crew with the local fire department was called to help lift the resident, who weighed more than 400 pounds, back onto the bed. She received stitches in her calf, and had X-rays of her leg and foot that showed no fractures. She had bruises all over her body.
Later in the day she complained that she could not move her leg, and that she was suffering from nausea and retching. Blood checks revealed dangerously low hemoglobin levels -- an indicator of anemia or bleeding -- but the resident refused to be taken to the hospital, staff members later said.